This frankness about mental health services,
along with a desire for more convenient therapy, are the hallmarks of
Thompson's new business. TalkSession will operate as an online platform that
pairs therapists with patients through matching algorithms, online scheduling
and a teletherapy platform.

So far she has partnered with 50 New York City
therapists with a range of specialties, and she will bring that number to 100
after completing a survey to anticipate user preferences. TalkSession was recently
chosen by GE Ventures and Startup Health Academy to participate in their
three-year accelerator program. They've gathered their first round of seed
financing with funds from a variety of investors and are set to launch in beta
version soon.

Thompson met me in a lower Manhattan bakery a few
blocks away from TalkSession's office. She came with TalkSession's media and
communications consultant Ana?s Borja. Belying her years on Wall Street and her
Columbia University Business School education, Thompson appears casual in an
unzipped hoodie and cotton tank top. She steers us around the business
objectives between drinks from a diet soda bottle. Borja, dressed in an
off-white sweater and carefully draped scarf, comes from the worlds of
publishing and media consulting. She tailors her answers to issues of mental
health policy while sipping her cappuccino.

Thompson first conceived of the idea for
TalkSession in 2011 while finishing business school.

"The health care system is inefficient, and
mental health care is even more inefficient," she said. "It seemed
like a good opportunity to make an impact on a field that's so important and so
little has been done to change the paradigm. And there are so many stigmas
around mental health care, both from the provider side and the consumer
side."

Borja clarified, "Teletherapy is not widely
adopted nor widely practiced in a HIPAA-compliant way. There's a lot of
skepticism among providers that you can develop a therapeutic alliance online,
there are a lot of regulatory issues, reimbursement issues, which is why our
competitors haven't necessarily been able to find a market. It's incredibly
difficult to get those providers over that stigma."

"I just," she paused and looked at me,
"left. I had been thinking about it for a while. I really wanted to do
work for myself. I think there's no perfect recipe for a job and if you want
your ideal job you have to create it yourself."

Thompson admits that she's started a consumer
healthcare IT company without having a background in either technology or
health care. But that doesn't deter her.

"I think," she said of her business
philosophy, "in running a startup, if you have the nerve to do it, if you
have the strength to go out on your own and to take a big risk, you can find
the resources you need. You can find experts in the health-care field. Experts
in technology. As a startup founder, you don't have to be an expert in any
particular area, you just have to be able to manage resources that the experts
can provide."

Thompson hopes that by bringing therapy online,
she can make it more accessible to a larger number of people, and also more
socially acceptable.

"I think that this in some ways really is
how to tell a better story about mental health," Borja told me. "One
in four people suffer from a mental illness, yet two-thirds never seek help.
How do we make it acceptable, the way that forward-thinking gyms did with
working out in the '90s? They made it cool - "

"Americans," Thompson clarified.
"So more people will have access to mental health benefits through
insurance. And when the psychiatrists and psychologists have to respond to the
ACA, they will also have to put their records on electronic medical records
systems. So what we're doing in advance of that is trying to streamline the technologies
and the business of mental health care so therapists ultimately will have more
time to do what they do best, which is therapy."

TalkSession's mission will meet some fairly large
obstacles. It will operate on a subscription system for providers, and Thompson
sees winning the trust of Web-weary practitioners as her first hurdle.

"In phase one we are a provider-focused
platform," Thompson explained, "working to help providers by giving
them resources to make therapy acceptable and bringing them online - - so
giving them the ability to accept credit card payments online, giving the
ability to book online, before we introduce the second side of the
market."

Thompson plans for the platform to become more
patient-focused in later stages. She'll use an algorithm reminiscent of OK
Cupid to connect users with providers that fit their needs and help people find
therapy at hours convenient to them.

Coordinating mental health care online provides
additional challenges. Practitioners can only treat patients within their own
state lines, and teletherapy over traditional video chat platforms like Skype
goes against HIPAA guidelines (Skype technically owns conversations over its
server). TalkSession will have its own HIPAA-compliant server to host the
remote video therapy sessions.

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